NPI 1073967774
Jordan Reznecheck
Practice location
- Address
- 1831 6th St E, West Fargo, ND 58078-4230
- Phone
- (701) 212-0680
Registered specialties
Student in an Organized Health Care Education/Training Program
Primary
Registry record
- NPI
- 1073967774
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 19 Apr 2016
- Record last updated
- 19 Apr 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.